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HCISPP · Question #309

HIPPA gave the option to adopt other financial and administrative transactions standards, "consistent with the goals of improving the operation of health care system and reducing administrative…

The correct answer is C. ASCA prohibits HHS from paying Medicare claims that are not submitted electronically after. The Administrative Simplification Compliance Act (ASCA) of 2001 was enacted to enforce HIPAA's electronic transaction standards for Medicare. ASCA specifically prohibits the Department of Health and Human Services (HHS) from paying Medicare claims that are not submitted…

Regulatory and Standards Environment

Question

HIPPA gave the option to adopt other financial and administrative transactions standards, "consistent with the goals of improving the operation of health care system and reducing administrative costs" to

Options

  • AASCA prohibits HHS from paying Medicare claims that are not submitted electronically after
  • BASCA prohibits HHS from paying Medicare claims that are not submitted on paper after October
  • CASCA prohibits HHS from paying Medicare claims that are not submitted electronically after
  • DNo

How the community answered

(27 responses)
  • A
    4% (1)
  • B
    4% (1)
  • C
    93% (25)

Explanation

The Administrative Simplification Compliance Act (ASCA) of 2001 was enacted to enforce HIPAA's electronic transaction standards for Medicare. ASCA specifically prohibits the Department of Health and Human Services (HHS) from paying Medicare claims that are not submitted electronically, with a compliance deadline that was set for October 16, 2003 (with limited exceptions for small providers). This mandate reinforced HIPAA's goal of standardizing electronic health care transactions and reducing administrative costs. Answer C correctly identifies that ASCA prohibits payment of non-electronically submitted claims - not non-paper claims (answer B is the opposite and incorrect).

Topics

#HIPAA Administrative Simplification#ASCA#Electronic Health Transactions#Medicare Claims

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